A preterm neonate is being supported with nasal SiPAP. The b…

A preterm neonate is being supported with nasal SiPAP. The baseline CPAP level is set at 6 cm H2O, the high CPAP level at 10 cm H2O, the rate is 20 “sigh” breaths, and the FIO2 is 0.8. The baby’s PaO2 on these settings has been steadily declining and is now 48 mm Hg. The physician and respiratory therapist decided to use nasal HFV before intubating and using mechanical ventilation. The initial settings for NHFV for this patient should include which of the following?

A neonate of 30 weeks’ gestation shows signs of respiratory…

A neonate of 30 weeks’ gestation shows signs of respiratory distress after delivery, including grunting, nasal flaring, and cyanosis. The baby is placed on nasal CPAP at 6 cm H2O with an FIO2 of 0.6. The grunting and nasal flaring are alleviated, and the ABG results on these settings are: pH = 7.20, PaCO2 = 64 mm Hg, PaO2 = 48 mm Hg, SaO2 = 70%, HCO3- = 21 mEq/L. The respiratory therapist should recommend which of the following?

A pediatric patient with a tracheostomy tube was in the acti…

A pediatric patient with a tracheostomy tube was in the activity area playing with a therapy dog. When the patient was moved back to their bed, a respiratory therapist observes signs and symptoms of acute respiratory destress. Which of the following should the therapist do first?